We offer SA consumers the most efficient way to find the very best offers...
 

 
Simply complete this simple form with your insurance details and you receive some FREE insurance quotes from SA's top Insurance companies!
 
All spaces marked with an * must be completed
    Personal Details:
 
First Name:
*
Surname:
*
Email Address:
*
Contact Number :
*
Date of Birth:
        dd/mm/yyyy
Cell Number:
Gender:
Male     Female
Marital Status:
Province:
*
   

    Medical Aid :
 
Are you currently covered by Medical Aid
Yes     No *
Type of Medical Aid you are interested in:
*
Do you receive Medical Aid subsidy from your employer?
Yes     No *
Do you require cover for day to day expenses?
Yes     No *


    Additional Details:
 
Principal Member
Yes     No *
Spouce / Partner
Yes     No *
Dependants over the age of 20
Yes     No *
Children under the age of 21
Yes     No *
 
By clicking this checkbox you acknowledge that you have read and understood the privacy policy *
 
Please clear the tick box if you prefer not to receive this information.
   
    

 
The Insurance quotes which will be provided to you, are based on a limited amount of information. Therefore these quotes are only illustrative and are not a binding offer. The quotes are subject to change, based upon the verification and further consideration of more comprehensive risk related information that you will be required to disclose, when you agree to the insurer or broker contacting you.
 

 
 
Getting the best price around on your motor insurance could not be easier, just complete the quick form, sit back and wait for us to find you a cheaper deal...